ArticleBMC health services research2021
Use of health care services among Syrian refugees migrating to Norway: a prospective longitudinal study.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Does health early at arrival predict later integration among refugees? A cohort study of Syrians in Norway.International journal for equity in health · 2026Article
- Healthcare service utilisation of elderly Ukrainian refugees in Israel: A retrospective cohort study.The European journal of general practice · 2025Article
- Utilisation of specialist mental health and addiction services in New Zealand: a comparative analysis of refugees with the general population.BMC health services research · 2025Article
- Chronic pain and use of painkillers, healthcare services and long-term impairment among Syrian refugees: a cross-sectional study.BMC public health · 2024Article
- Oral Health-Related Quality of Life among Refugees: A Questionnaire-Based Study.Healthcare (Basel, Switzerland) · 2024Article
- A Scoping Review of Instruments Used in Measuring Social Support among Refugees in Resettlement.International journal of environmental research and public health · 2024Article
- Including highly educated migrants in academia to improve their health-protocol for a pilot intervention.Frontiers in public health · 2024Article
- Article
- Pediatric emergency department use by Afghan refugees at a temporary housing facility.Journal of the American College of Emergency Physicians open · 2023Article
- Health service behaviors of migrants: A conceptual framework.Frontiers in public health · 2023Article
- Quality of Life and Psychometric Characteristics of Syrian Refugee Physicians Who Migrated to Turkey: A Cross-Sectional Study.International journal of clinical practice · 2023Article
- Coordination and Perceived Support for Return to Work: A Cross-Sectional Study among Patients in Swedish Healthcare.International journal of environmental research and public health · 2022Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundUnderstanding the differential utilization of healthcare services is essential to address the public health challenges. Through the migration process, refugees move from one set of health risk factors to another and can face multiple healthcare challenges along their journey. Yet how these changing risk factors influence refugees' use of health care services is poorly understood.
methodsA longitudinal survey assessing health care utilization of 353 adult Syrian refugees was conducted; first in a transit setting in Lebanon and after one year of resettlement in Norway. The main outcomes are the utilization of general practitioner services, emergency care, outpatient and/or specialist care and hospitalization during the previous 12 months. Associations between use of healthcare services and several sociodemographic, migration-related and health status variables at both time points were found using regression analysis. We also analyzed longitudinal changes in utilization rates using generalized estimating equations.
resultsThe use of general practitioner and emergency care increased after resettlement while outpatient/specialist care markedly dropped, and hospitalization rates remained the same. Undocumented status and poor self-rated health (SRH) prior to resettlement were identified as predictors for use of health care after arrival. After resettlement, higher health literacy, higher education, higher social support and poor SRH and quality of life were significantly associated with use of healthcare services.
conclusionsUtilization of health services changes post migration to the destination country and are associated with migration-related and socio-demographic factors. Poor SRH is associated with use of services, both pre-arrival and post-resettlement. Our findings have implications for future resettlements, health care policies and service provision to newly arrived refugees with regard to both health needs as well as delivery of services.
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